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Genius Digital Diagnostics System with the Genius Cervical AI algorithm

Hologic Inc. • Pathology • 01/31/2024

De NovoIEC 62304 Class A
FDA Summary PDF

Device Purpose

The Genius Digital Diagnostics System with Genius Cervical AI leverages whole-slide imaging and artificial intelligence to identify and present potentially abnormal cells from ThinPrep Pap slides, aiming to enhance the speed and accuracy of cervical cytology screening. Its machine learning algorithms, trained on extensive image datasets to analyze cellular morphology, are designed to improve diagnostic sensitivity and specificity for various dysplasias, thereby supporting pathologists and streamlining the screening workflow.

Summary

The Genius Digital Diagnostics System with Genius Cervical AI is a whole-slide imaging technology developed for cervical cytology. Its primary function is to scan ThinPrep Pap slides and employ artificial intelligence models to detect and highlight 'objects of interest'—individual cells or cell clusters that exhibit atypical characteristics—for subsequent review by pathologists. The system is designed to aid in the faster identification of various cervical abnormalities, including ASC-US, LSIL, HSIL, and carcinoma, by drawing attention to potentially dysplastic cells. The core of the system's functionality lies in its machine learning algorithm, which has been trained using large, annotated datasets of cytology images. This algorithm meticulously analyzes multiple cellular features such as shape, texture, and staining patterns to accurately flag potential abnormalities. Clinical validation studies have indicated that this technology improves both the sensitivity and specificity in detecting dysplasia. Consequently, it serves as a supportive tool for cytotechnologists, aiming to reduce oversight errors and enhance the overall efficiency and accuracy of the cervical screening process.

AI Regulatory Concerns

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Jev reads the full FDA letter and returns calibrated concern probabilities per regulatory category. These are AI estimates, not regulatory advice.

Keywords

Cervical cytologyWhole-slide imagingArtificial intelligenceThinPrep PapObjects of interestDysplasiaMachine learningSensitivitySpecificityPathologist review

Device Metadata

Submission Number
DEN210035
Company
Hologic Inc.
Panel
Pathology
Product Code
N/A
Data Type
Images
Clinical Function
Assessment
AI Function
Analysis
AI Subclass
detection

Relevant Clinical Questions

  • Q1. How does the performance of the Genius Cervical AI compare to traditional manual screening by cytotechnologists in terms of diagnostic accuracy for different grades of dysplasia (ASC-US, LSIL, HSIL, carcinoma)?; What is the range of inter-observer variability among pathologists when reviewing the 'objects of interest' presented by the AI, and how does this compare to reviewing slides without AI assistance?; Beyond shape, texture, and staining patterns, what other specific cellular or nuclear features are weighted most heavily by the machine learning algorithm in identifying atypical cells?; What are the computational requirements and average processing time per slide for the Genius Digital Diagnostics System, and how does this impact laboratory workflow scalability?; Are there specific types of artifacts or challenging cellular presentations (e.g., significant inflammation, obscuring blood, scant cellularity) where the AI's performance is known to be limited or requires more careful pathologist oversight?

Risk Classification

ESL Analysis
FDA Device ClassII

FDA Class II via De Novo pathway; IEC 62304 Class A (software safety classification); Post-§524B but no clear network capability detected

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Cybersecurity Evidence

Powered by SBOMator™

Based on AI-generated device summaries, not the full FDA submission. Items not detected here may still be present in the complete submission package.

Cyber Score10/100
SBOM Evidence⚠ Not in summary - likely in full submission per §524B
Cyber Risk Assessment⚠ Not in summary - likely in full submission per §524B
Postmarket Plan⚠ Not in summary - likely in full submission per §524B
§524B ApplicableYes

Supply Chain BOM Evidence

Based on the CycloneDX / OWASP ECMA-424 xBOM ecosystem. Detection is from the AI-generated summary.

SBOMSoftware Bill of Materials
- Not detected
ML-BOMMachine Learning Bill of Materials(machine learning, algorithm, dataset)
✓ Detected
SaaSBOMSoftware-as-a-Service Bill of Materials(server, cellular)
✓ Detected
HBOMHardware Bill of Materials
- Not detected
CBOMCryptography Bill of Materials
- Not detected
VDR/VEXVulnerability Disclosure Report / Vulnerability Exploitability eXchange
- Not detected
OBOMOperations Bill of Materials
- Not detected

Analysis:

• Analysis is based on the AI-generated device summary, not the full FDA submission package. Click "Analyze Full FDA PDF" below to scan the actual submission document.

• Evidence of ML-BOM, SaaSBOM detected in AI-generated device summary.

• SBOM not mentioned in AI-generated device summary. Under §524B (effective Oct 2023), cyber devices must provide a SBOM.

• Cybersecurity risk assessment not referenced in AI-generated device summary. FDA cybersecurity guidance (2023) expects this for cyber devices.

• Postmarket cybersecurity monitoring plan not clearly documented in AI-generated device summary.

• Not detected in AI-generated device summary: SBOM, HBOM, CBOM, VDR/VEX, OBOM. These may be present in the full FDA submission.

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Genius Digital Diagnostics System with the Genius Cervical AI algorithm - Hologic Inc. | ESL FDA AI Device Intelligence